Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 456 questions.
A 14-year-old girl is brought by her mother because her marks have dropped over three months, she has quit netball, and she is irritable and withdrawn. Her pare…
Paediatrics · Pre-internship · middle twist
A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week al…
Paediatrics · Pre-internship · middle twist
A 2-year-old boy attends with his mother after his childcare educator commented that he "plays on his own". He walks and runs well, uses about sixty single word…
Paediatrics · Pre-internship · middle twist
A 14-year-old boy attends the general practice with his mother because his school marks have collapsed over two terms and he has begun refusing to go on Monday…
Paediatrics · Pre-internship · middle twist
An 18-month-old boy is brought back to the general practice by his father. At his 15-month check he was walking, waving goodbye, using eight words and handing h…
Paediatrics · Pre-internship · middle twist
A boy born at 28 weeks gestation is brought to the general practice at 20 months of age because he is not yet walking. He was discharged home at term with no in…
Paediatrics · Pre-internship · middle twist
A 30-month-old boy is reviewed after the practice nurse completed an Ages and Stages Questionnaire with his mother. He scores below the cut-off for communicatio…
Paediatrics · Pre-internship · middle twist
A 7-month-old girl is brought to a rural general practice. Her weight has fallen from the 50th centile to below the 0.4th centile over three months; her length…
Paediatrics · Pre-internship · middle twist
A 7-month-old boy is brought to the emergency department by his 19-year-old mother because of a cold. His weight has crossed from the 50th percentile at 4 month…
Paediatrics · Pre-internship · middle twist
A 12-year-old boy attends with his mother. His body mass index for age is above the 99.7th percentile on his growth chart, having been on the 92nd percentile at…
Paediatrics · Pre-internship · middle twist
A 14-year-old boy attends the general practice with his father because of headaches on most school days for three months. His neurological examination, includin…
Paediatrics · Pre-internship · common
A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…
Paediatrics · Pre-internship · common
A 13-year-old boy who received a deceased-donor kidney transplant eighteen months ago attends the general practice with his mother. He takes tacrolimus, mycophe…
Paediatrics · Pre-internship · middle twist
You are the intern on the postnatal ward. The newborn screening laboratory telephones about a 5-day-old girl: the immunoreactive trypsinogen was raised on the b…
Paediatrics · Pre-internship · common
A 3-year-old boy is brought to the general practice because he uses only about twenty single words and no two-word phrases. He passed his newborn hearing screen…
Paediatrics · Pre-internship · common
You are the resident in a paediatric outpatient clinic. A 15-year-old boy attends for review of his asthma, which is well controlled. At the start you explained…
Paediatrics · Pre-internship · middle twist
A 14-year-old boy attends the renal clinic. He received a deceased-donor kidney transplant at age 9 and takes tacrolimus, mycophenolate and low-dose prednisolon…
Paediatrics · Pre-internship · niche
A 12-year-old boy had blood taken during a work-up for recurrent abdominal pain, which has since settled without treatment. He is well, is Tanner stage 3, and h…
Paediatrics · Pre-internship · niche
You are asked to chart regular paracetamol for a 14-year-old boy on the first day after an open appendicectomy. He weighs 68 kg and is 174 cm tall. He has no li…
Paediatrics · Pre-internship · middle twist
You are the intern on the paediatric ward. A 2-year-old girl admitted with gastroenteritis needs a nasogastric tube for rehydration. Her parents arrived in Aust…
Paediatrics · Pre-internship · common